Inpatient care for skin diseases in Germany: multi-source analysis on the current and future health care needs.
Journal
Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
ISSN: 1610-0387
Titre abrégé: J Dtsch Dermatol Ges
Pays: Germany
ID NLM: 101164708
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
05
03
2021
accepted:
29
07
2021
entrez:
18
10
2021
pubmed:
19
10
2021
medline:
10
11
2021
Statut:
ppublish
Résumé
In Germany, skin diseases are mainly treated in the 115 dermatological hospitals. Health care and health economic analysis of dermatological inpatient care and prediction of future care needs based on primary and secondary data. Outpatient and inpatient care for dermatologic treatment indications is predominantly provided by dermatology specialists. Inpatient treatment was provided for 833,491 cases in 2018, corresponding to 4.21 % of all inpatient cases (19,808,687). Most common treatment cases were: epithelial skin cancer (total 87,386, of which dermatology clinics 52,608), followed by melanoma (23,917/17,774), psoriasis (19,291/13,352), erysipelas (73,337/11,260), other dermatitis (12,671/10,842), atopic dermatitis (AD) (11,421/9,734), and herpes zoster (26,249/9,652). With an average length of stay of 5.69 days, dermatology hospitals were in the bottom third. The proportion of inpatient indications cared for in dermatology hospitals was highest for prurigo (95.2 %), pemphigus (94.9 %), parapsoriasis (94.6 %), pemphigoid (90.3 %), eczema other than AD (85.6 %), and AD (85.2 %). While the total number of inpatient treatment cases in Germany has increased by an average of 17.5 % between 2000 and 2018, this is the case for 26.6 % of skin diseases and over 150 % for individual ones. The projection of current to future inpatient care suggests a continued high demand for inpatient care by dermatology hospitals. Inpatient dermatological care will continue to be an indispensable component of qualified, socially necessary care in Germany.
Sections du résumé
BACKGROUND
In Germany, skin diseases are mainly treated in the 115 dermatological hospitals.
METHODS
Health care and health economic analysis of dermatological inpatient care and prediction of future care needs based on primary and secondary data.
RESULTS
Outpatient and inpatient care for dermatologic treatment indications is predominantly provided by dermatology specialists. Inpatient treatment was provided for 833,491 cases in 2018, corresponding to 4.21 % of all inpatient cases (19,808,687). Most common treatment cases were: epithelial skin cancer (total 87,386, of which dermatology clinics 52,608), followed by melanoma (23,917/17,774), psoriasis (19,291/13,352), erysipelas (73,337/11,260), other dermatitis (12,671/10,842), atopic dermatitis (AD) (11,421/9,734), and herpes zoster (26,249/9,652). With an average length of stay of 5.69 days, dermatology hospitals were in the bottom third. The proportion of inpatient indications cared for in dermatology hospitals was highest for prurigo (95.2 %), pemphigus (94.9 %), parapsoriasis (94.6 %), pemphigoid (90.3 %), eczema other than AD (85.6 %), and AD (85.2 %). While the total number of inpatient treatment cases in Germany has increased by an average of 17.5 % between 2000 and 2018, this is the case for 26.6 % of skin diseases and over 150 % for individual ones. The projection of current to future inpatient care suggests a continued high demand for inpatient care by dermatology hospitals.
CONCLUSION
Inpatient dermatological care will continue to be an indispensable component of qualified, socially necessary care in Germany.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
25-53Informations de copyright
© 2021 The Authors | © Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.
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